Kathleen Kelley, MD - Medicare Dermatology in Granger, IN

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Kathleen Kelley, MD is a medicare enrolled "Dermatology" physician in Granger, Indiana. She went to Indiana University School Of Medicine and graduated in 2015 and has 10 years of diverse experience with area of expertise as Dermatology. She is a member of the group practice Beacon Medical Group Inc and her current practice location is 6913 N Main St, Ste 100, Granger, Indiana. You can reach out to her office (for appointments etc.) via phone at (574) 647-3376.

Kathleen Kelley is licensed to practice in Indiana (license number 01082520A) and she also participates in the medicare program. She accepts medicare assignments (which means she accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and her NPI Number is 1245626225.

Contact Information

Kathleen Kelley, MD
6913 N Main St, Ste 100,
Granger, IN 46530-8039
(574) 647-3376
(574) 647-2951

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Physician's Profile

Full NameKathleen Kelley
GenderFemale
SpecialityDermatology
Experience10 Years
Location6913 N Main St, Granger, Indiana
Accepts Medicare AssignmentsYes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Kathleen Kelley attended and graduated from Indiana University School Of Medicine in 2015
  NPI Data:
  • NPI Number: 1245626225
  • Provider Enumeration Date: 04/07/2015
  • Last Update Date: 10/31/2024
  Medicare PECOS Information:
  • PECOS PAC ID: 2062722861
  • Enrollment ID: I20190919003064

Medical Identifiers

Medical identifiers for Kathleen Kelley such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1245626225NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207N00000XDermatology 01082520A (Indiana)Primary

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Beacon Medical Group Inc1254243306444

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Kathleen Kelley allows following entities to bill medicare on her behalf.
Entity NameBeacon Medical Group Inc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1033161617
PECOS PAC ID: 1254243306
Enrollment ID: O20031105000657

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Kathleen Kelley is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Kathleen Kelley, MD
1602 Wayne St,
South Bend, IN 46615-1334

Ph: () -		Kathleen Kelley, MD
6913 N Main St, Ste 100,
Granger, IN 46530-8039

Ph: (574) 647-3376

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Dermatology Doctors in Granger, IN


Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.